{template "nheader.html"}


        <form action="" method="post" class="form-horizontal" novalidate="novalidate">
            <div class="form-body">
                {if strlen($result_error) > 3}
                <div class="alert alert-danger display-hide" style="display: block;">
                    <button class="close" data-close="alert"></button> {$result_error}</div>
                {/if}

                <div class="form-group">
                    <label class="col-md-2 control-label">城市：</label>
                    <div class="col-md-10">
                        {dr_field_input('city', 'Linkage', array('option' => array('linkage' => 'address'),'validate' => array('required' => 1 )), $data['city'])}
                    </div>
                </div>
                <div class="form-group">
                    <label class="col-md-2 control-label">姓名：</label>
                    <div class="col-md-4">
                        <div class="input-icon ">
                            <i class="fa fa-user"></i>
                            <input type="text" class="form-control" name="data[name]" value="{$data.name}" placeholder="姓名"> </div>
                    </div>
                </div>
                <div class="form-group">
                    <label class="col-md-2 control-label">电话：</label>
                    <div class="col-md-4">
                        <div class="input-icon ">
                            <i class="fa fa-phone-square"></i>
                            <input type="text" class="form-control" name="data[phone]" value="{$data.phone}" placeholder="电话"> </div>
                    </div>
                </div>
                <div class="form-group">
                    <label class="col-md-2 control-label">邮编：</label>
                    <div class="col-md-4">
                        <div class="input-icon ">
                            <i class="fa fa-barcode"></i>
                            <input type="text" class="form-control" name="data[zipcode]" value="{$data.zipcode}" placeholder="邮编"> </div>
                    </div>
                </div>
                <div class="form-group">
                    <label class="col-md-2 control-label">地址：</label>
                    <div class="col-md-10">
                        <div class="input-icon ">
                            <i class="fa fa-home"></i>
                            <input type="text" class="form-control" name="data[address]" value="{$data.address}" placeholder="地址"> </div>
                    </div>
                </div>
                <div class="form-group">
                    <label class="col-md-2 control-label">设为默认：</label>
                    <div class="col-md-10">
                        <div class="radio-list">
                            <label class="radio-inline">
                                <input name="data[default]" type="radio" {if !$data.default}checked{/if} value="0"> 否 </label>
                            <label class="radio-inline">
                                <input name="data[default]" type="radio" {if $data.default}checked{/if} value="1"> 是 </label>
                        </div>
                    </div>
                </div>

            </div>

            <div class="form-actions">
                <div class="row">
                    <div class="col-md-offset-2 col-md-3">
                        <button type="submit" class="mysubmit btn green btn-block"> 保存</button>
                    </div>
                </div>
            </div>

        </form>


{template "nfooter.html"}